The inspection took place on 20 June 2018 and was announced.

Your Elysium Limited is registered to provide personal care to people in their own homes. At the time of this inspection visit, 28 people received personal care and the service employed 15 care staff.

Your Elysium registered with us in March 2017 and this was the first inspection of this service. Before providers are registered, part of our registration process is to check those providing care, are of suitable character and have effective systems and processes to provide people with a service that meets their needs. At this inspection visit we found improvements were needed to the provider’s quality assurance systems and how they retained important information that supported their regulatory responsibilities.

There was a newly registered manager in post, having registered with CQC as a manager in April 2018. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated regulations about how the service is run.

Where staff administered medicines, staff were trained and assessed as competent to do so. The provider had a recruitment process that ensured pre-employment checks were made, prior to staff starting work, to ensure they were suitable to support people who used the service.

People had an assessment of care completed before they used the service to make sure staff could meet people’s care and support needs. Care plans contained sufficient information to enable people to receive appropriate care and support with their needs. People’s care needs were regularly reviewed. The registered manager and office staff were in contact with people, or their relatives, to check the care provided was what people needed and expected. The registered manager and the managing director completed observed practices on staff and they completed care calls on occasions which gave them opportunity to speak with people about the service they received. People and their relatives told us staff were reliable and stayed for the time needed. People were treated with dignity and respect.

People felt safe using the service and staff understood how to protect people from abuse and harm. There were procedures to keep people safe and manage identified risks to people’s care, although action and learning was not always identified from safeguarding incidents. CQC was not always notified of incidents or safeguarding concerns.

The principles of the Mental Capacity Act (MCA) were followed by the registered manager and staff. People’s decisions and choices were respected and people felt involved in their care. People were supported to have choice and control of their lives and staff sought permission before assisting them.

People knew how to complain and information about making a complaint was available for people when they started using the service. There was a system in place to log and action any complaints or concerns that people may have.

Staff felt they had good training and their competencies and skills were continuously checked. Staff were supervised and supported in their roles. People were assisted to access health services when needed and staff worked well with other health and social care professionals.

There were governance systems in place that provided the registered manager with an overview of areas such as care records, medicine records and call times. There was an acknowledgement from the registered manager that further improvements were needed in the way that incidents were captured and lessons learnt.